Naslov
Short-term outcome of stroke

Autori
Bradvica, Ivanka ; Vukašinović, Darko ; Hanižjar-Berlančić, Jasna ; Kadojić, Dragutin ; Mišević, Sanja ; Klapec-Basar, Mirta

Izvornik
Acta clinica Croatica. Supplement (0353-9474) 41 (2002), Suppl.3; 99-100

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, kongresno priopcenje, znanstveni

Ključne riječi
short-term outcome; stroke; Rankin scale

Sažetak
Clinical characteristics and short-term outcome of stroke were analyzed in patients treated at the Osijek Department of Neurology. The study included 67 patients, mean age 68, 24 years. There were 34 women (mean age 71, 41 years) and 33 men (mean age 64, 85 years). Data from the patient history and treatment protocol were thoroughly analyzed. The aim of the study was to determine more precise indicators of short-term stroke outcome in our population, which would enable comparison with data from other countries and facilitate patient prognosis. The following indicator were obtained: first ever stroke was recorded in 50 (74, 6%) and recurrent stroke in 17 (25, 4%) patients ; ischemic stroke was diagnosed in 59 (88, 0%) and hemorrhagic stroke in 8 (12, 0% patients. The following complications of stroke were recorded: pneumonia in 11, 9%, urinary infection in 25, 4%, deep venous thrombosis in 3% and consciousness disturbances in 28, 4% of patients, where as decubitus was not recorded at all. Total disease outcome and grade of functional deficit in surivovrs expressed by modified Rankin scale (RS) were as follows: complete recovery and independence (RS grade 0 and 1) were recorded in 11, 0% moderate neurologic deficit and partial dependence on other people's help (RS grade 2 and 3) in 26, 9% severe neurologic deficit and complete dependence on other people's help (RS grade 4 and 5) in 40, 2% and death (RS 6) in 20, 9% of patients. On discharge the condition was improved as compared with the condition on admission in 68, 7%, unchanged in 7, 5%, and deteriorated in 3, 0% of patients, while 20, 9% of patients died. Upon the treatment at the Osijek Department of Neurology, 13, 4% of patients were transferred to other hospital departments, 13, 4% were referred to thermal resorts, 10, 5% were referred to geriatric units, and 41, 8% of patients were discharged from home care. The study pointed to the debilitating character of stroke, and to the extent and severity of its sequels, causing functional disabilities and dramatic deterioration of the patient quality of life. At the same time, results of the study pointed to the need of ensuring better conditions for the diagnosis, management, rehabilitation and prevention of this serious disease.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA